Active NPIIndividual providerSole proprietor

Ms. Christine R Edge, MS, RD

Dietitian, Registered in Bethel, Connecticut

NPI Number1144637349
Practice location
13 Park Lawn Dr, Bethel, CT 06801-1043
Fax
—
Last updated
July 20, 2014

Christine Ruzicka Edge is a Dietitian, Registered based in Bethel, CT. Christine Ruzicka Edge practices in Bethel, CT and has the professional credentials of MS, RD. The NPI Number for Christine Ruzicka Edge is 1144637349 and holds a License No. 1024 (CT). The current practice location address for Christine Ruzicka Edge is 13 Park Lawn Dr, Bethel, CT 06801-1043 and can be reached out via phone at 203-830-4180.

Provider Profile Details

NPI Number
1144637349
Provider Name
Christine Ruzicka Edge
Credential
MS, RD
Provider Entity Type
Individual
Gender
Female
Address
13 Park Lawn Dr, Bethel, CT 06801-1043
Phone Number
203-830-4180
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 20, 2014
Last Update Date
July 20, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
13 Park Lawn Dr
Bethel, CT 06801-1043
City
Bethel
Zip
06801-1043
Phone Number
203-830-4180
Bethel, CT 06801Get directions →

Provider Business Mailing Address Details

Address
9 Oak Ridge Ave
Danbury, CT 06810-6315
City
Danbury
State
CT
Zip
06810-6315
Phone Number
203-788-1423

License Information

License Number (1)
1024
License State (1)
CT
Taxonomy (1)
Dietitian, Registered · 133V00000X · Primary
License Number (2)
6639
License State (2)
NY
Taxonomy (2)
Dietitian, Registered · 133V00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Christine R Edge, MS, RD?

The NPI number of Ms. Christine R Edge, MS, RD is 1144637349. It was assigned on July 20, 2014 and is currently active in the NPPES registry.

What is the specialty of Ms. Christine R Edge, MS, RD?

Ms. Christine R Edge, MS, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in CT under license number 1024.

Where does Ms. Christine R Edge, MS, RD practice?

The practice location is 13 Park Lawn Dr, Bethel, CT 06801-1043. The office can be reached at 203-830-4180 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144637349 directly on the NPPES registry website.

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